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Stent-assisted coiling of a ruptured basilar artery perforator aneurysm: A case report

Authors
 Jongwon Cho  ;  Sang Hyun Suh  ;  Joonho Chung 
Citation
 Journal of Cerebrovascular and Endovascular Neurosurgery, Vol.25(1) : 81-86, 2023-03 
Journal Title
Journal of Cerebrovascular and Endovascular Neurosurgery
ISSN
 2234-8565 
Issue Date
2023-03
Keywords
Basilar artery aneurysm ; Endovascular procedure ; Stent ; Subarachnoid hemorrhage
Abstract
Basilar artery (BA) perforator aneurysms are exceedingly rare causes of subarachnoid hemorrhage. Therefore, the natural history and optimal treatment have not been established, and surgical, endovascular, and conservative management have been used. However, there is no consensus on the optimal treatment strategy. Herein, we report the case of a 52-year-old man presenting with a ruptured BA perforator aneurysm. First, we deployed an Enterprise stent from the left P1 segment to the BA because the microcatheter could not enter the aneurysm. Then, we deployed a helical coil on the orifice of the BA perforator. Finally, we deployed another Enterprise stent, sandwiching the helical coil between the two Enterprise stents. The aneurysm was completely obliterated without recurrence on the follow-up angiography. Our technique of sandwiching the small helical coil between two Enterprise stents might help other surgeons by offering another feasible treatment option for ruptured BA perforator aneurysms.
Files in This Item:
T202307070.pdf Download
DOI
10.7461/jcen.2022.E2022.03.005
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Chung, Joon Ho(정준호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197430
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